Background:The etiology and pathogenesis of bronchial asthma remain unclear. This study is to investigate the risk factors related to bronchial asthma onset in children from genetics and immunology and preliminarily reveal the pathogenesis of bronchial asthma in children. Methods: Real-time quantitative PCR was adopted to detect the expression level of TRPV1 gene and mRNA and enzymelinked immunosorbent assay method to the total immunoglobulin E level and levels of IL-4, IL-5, and IFN-γ in serum in peripheral venous blood for children in two groups. Logistic regression analysis was applied to analyze the most essential factors inducing bronchial asthma in children. results: The mRNA level of TRPV1 in peripheral blood in the case group was higher than that in the control group (P < 0.01). The levels of IL-4, IL-5, and eosinophils in serum in the case group were markedly higher than those in the control group (P < 0.01), while IFN-γ level in the case group was lower than that in the control group (P < 0.01). The results of logistic regression analysis indicated that TRPV1 expression level, IL-4 level, and rs4790522 site mutation were the main risk factors inducing bronchial asthma in children. conclusion: The levels of TRPV1 gene expression and Th1/ Th2 cytokines have a close relationship with asthma onset in children, which provides theoretical evidences for molecular targeted treatment in children with bronchial asthma.
Bronchial asthma is a worldwide high-incidence disease. With the highest morbidity and gradually rising trend, it is also the most common chronic respiratory disease in childhood (1). Asthma not only does harm to children's physical and mental health, but also results in a heavy burden to patients' family and society (2). Currently, it has been verified by some studies that asthma is induced by the joint effect of multifactors including immunity, environment, and inheritance and so on (3,4). However, the etiology and pathogenesis of the disease remain unclear. Therefore, it is of great significance for the patients and society to study the etiology and pathological mechanism of asthma.The study of asthma candidate genes demonstrates that the characteristics of gene polymorphism for candidate genes are related to the susceptibility and severity of asthma in children, but still there exist some significant ethnic differences(5). Therefore, the study on the differences of asthma in different races and regions is helpful to early diagnosis, prevention, and treatment of it. In recent years, with the deep understanding of the pathogenesis of bronchial asthma respiratory inflammation, the signal regulatory effect of transient receptor potential cation channel, subfamily V, member 1 (TRPV1) gene on asthma also becomes a research focus. TRPV1, as a V subfamily (TRPV1-TRPV6) member in nonselective cation channel superfamily, shows a relatively extensive expression in mammal respiratory system. Studies have indicated that TRPV1 distributes in respiratory tract and coexists with P substance in the trachea epi...